MR. LYLE KEITH COALWELL (NPI# 1922165869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922165869 |
| Entity Type | Individual |
| Full Name | MR. LYLE KEITH COALWELL |
| Credential | LPC |
| Practice Address |
6488 Spring St Suite 102 Douglasville GA 30134-1895 |
| Practice Telephone | 7709491595 |
| Practice Fax Number | 7704897521 |
| Mailing Telephone | 7709491595 |
| Mailing Fax Number | 7704897521 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC002580 | GA | Behavioral Health & Social Service Providers |
| Street Address |
6488 SPRING ST SUITE 102 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-1895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376817460 | Heather M Myers | Counselor | 6488 Spring St, Suite 102, Douglasville, GA 30134-1895 | 2012-03-07 |
| 1124390299 | Taffey-marie Alison Cunnien | Counselor | 6488 Spring St, Suite 102, Douglasville, GA 30134-1895 | 2012-02-03 |
| 1194861666 | Robert David Russell Jr. | Counselor | 6488 Spring St, Suite 201, Douglasville, GA 30134-1895 | 2007-01-30 |
| 1760535710 | Nicki Ann Covey | Counselor | 6488 Spring St, Suite 102, Douglasville, GA 30134-1895 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972616 | The Next Step Assessment and Counseling Services | Counselor | 8329 Office Park Dr Ste A, Douglasville, GA 30134-6937 | 2020-01-27 |
| 1629611801 | Deana Nelson | Counselor | 4560 Talon Way, Douglasville, GA 30135-7462 | 2019-10-21 |
| 1700437514 | Shinah Russell | Counselor | 7084 Roselake Cir, Douglasville, GA 30134-1680 | 2019-09-23 |
| 1093293045 | Holistic Solutions Counseling Services | Counselor | 2110 Fairburn Rd Ste C, Douglasville, GA 30135-1090 | 2018-08-01 |
| 1144770009 | Inspiring Healing and Hope Counseling and Development Center, LLC | Counselor | 8332 Office Park Dr, Suite H, Douglasville, GA 30134-6937 | 2016-10-04 |
| 1477918266 | Peace of Mind Counseling, LLC | Counselor | 8306 Office Park Dr, Ste C, Douglasville, GA 30134-6935 | 2015-12-21 |
| 1457734527 | Mattie Finn | Counselor | 9635 Bark Chip Way, Douglasville, GA 30135-2498 | 2015-07-07 |
| 1417342718 | Nextsteptowardsuccess | Counselor | 8330 Office Park Dr, Douglasville, GA 30134-6937 | 2015-04-02 |
| 1700297603 | Corina Giles | Counselor | 3133 Golf Ridge Blvd Ste 304, Douglasville, GA 30135-1995 | 2014-05-13 |
| 1750705521 | Resiliency Counseling Services, LLC | Counselor | 8954 Hospital Dr Ste 110, Douglasville, GA 30134-2272 | 2014-02-13 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on MR. LYLE KEITH COALWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.